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Suggest Treatment For Fractured Penis And Urethral Tear
Question: I had a degloving surgery for a fractured penis and concurrent tear in my urethra. 6 months later, there is still discomfort around the incision site. The surgeon thinks it could be the nerves. I didn't get much information from him, although he thought everything should be healed by now. Do you have any input as to what this could be? Anything I could do to treat this? It is especially uncomfortable/painful after any type of friction from sexual activity. Your help is greatly appreciated. Thanks!
Brief Answer:
Possible Sensory Autonomic dysfunction- CRPS
Detailed Answer:
You may be suffering from something referred to as COMPLEX REGIONAL PAIN SYNDROME (CRPS) or in the old vernacular, REFLEX SYMPATHETIC DYSTROPHY which is the HYPERSENSITIZATION of the nerves subserving the sensory function of the skin where the surgery was performed. This phenomenon is not that uncommon and happens mostly in cases where some type of significant trauma of a body part has taken place. Fracture of an erect penis and tearing of the urethra would qualify as a significantly injury which itself likely severed and damaged sensory nerves as well as the surgery.
I don't think, however, that we can say quite yet after 6 months that 100% healing of the area from a sensory nerve perspective has necessarily taken place though the surgical wound itself has certainly likely closed up nicely.
If this turns out to be CRPS then, there are some medications that can be tried to ameliorate the pain, however, these medications themselves can in some people act to suppress erections and even make people fatigued or sleepy and reduce libido as well. Not only that but the condition is sometimes difficult to treat anyways so there is always this delicate trade-off between producing one set of side effects that can negatively impact sexual function and perhaps even overall function vs. living with the localized pain but that pain itself is also sufficient to detract from the ability to maintain or get an erection because of pain and irritation of the skin.
Your best bet is to see either a neurologist or pain management specialist to see what options you may have to use something systemically that can work at the site in question without causing local effects that could interfere with sexual function.
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.
This query has utilized a total of 16 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Possible Sensory Autonomic dysfunction- CRPS
Detailed Answer:
You may be suffering from something referred to as COMPLEX REGIONAL PAIN SYNDROME (CRPS) or in the old vernacular, REFLEX SYMPATHETIC DYSTROPHY which is the HYPERSENSITIZATION of the nerves subserving the sensory function of the skin where the surgery was performed. This phenomenon is not that uncommon and happens mostly in cases where some type of significant trauma of a body part has taken place. Fracture of an erect penis and tearing of the urethra would qualify as a significantly injury which itself likely severed and damaged sensory nerves as well as the surgery.
I don't think, however, that we can say quite yet after 6 months that 100% healing of the area from a sensory nerve perspective has necessarily taken place though the surgical wound itself has certainly likely closed up nicely.
If this turns out to be CRPS then, there are some medications that can be tried to ameliorate the pain, however, these medications themselves can in some people act to suppress erections and even make people fatigued or sleepy and reduce libido as well. Not only that but the condition is sometimes difficult to treat anyways so there is always this delicate trade-off between producing one set of side effects that can negatively impact sexual function and perhaps even overall function vs. living with the localized pain but that pain itself is also sufficient to detract from the ability to maintain or get an erection because of pain and irritation of the skin.
Your best bet is to see either a neurologist or pain management specialist to see what options you may have to use something systemically that can work at the site in question without causing local effects that could interfere with sexual function.
If I've provided useful and helpful information to your questions could you do me a huge favor by CLOSING THE QUERY and be sure to include some fine words of feedback along with a 5 STAR rating? Again, many thanks for submitting your inquiry and please let me know how things turn out.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.
This query has utilized a total of 16 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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